NPI 1790558971
Glory Ddd Services LLC
Practice location
- Address
- 2052 E Lantana Dr, Chandler, AZ 85286-0290
- Phone
- (347) 603-5168
Authorised official
- Name
- Duduyemi Sagay
- Title
- Administrator
- Phone
- (347) 603-5168
Registered specialties
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
Registry record
- NPI
- 1790558971
- Entity type
- Organization
- NPI issued
- 31 Oct 2023
- Record last updated
- 31 Oct 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.